Parent Coordinator Qualification Statement {1224FAJ}

1224FAJ - PARENT COORDINATOR QUALIFICATION STATEMENT. This form is used to confirm that an individual meets the professional requirements to serve as a parent coordinator in domestic cases involving custody, parent-time, or support. The form is filed in District Court and allows qualified professionals—such as licensed clinical social workers, psychologists, psychiatrists, or marriage and family therapists—to declare their credentials. It requires information about graduate-level coursework, post-licensure experience, or limited appointments in areas where services are scarce. Parent coordinators must also agree to follow ethical and procedural standards under Utah Code of Judicial Administration Rule 4-509. The form includes a Certificate of Service to notify all parties. www.FormsWorkflow.com